The nurse is assessing a dog bite on a child's forearm and notes that the epidermis, dermis, and subcutaneous tissues have been damaged and the wound is bleeding profusely. The nurse classifies the severity of the bite as:
A) mild.
B) moderate.
C) severe.
D) life-threatening.
C) severe.
Explanation: A) A mild bite extends through the epidermis and part of the dermis.
B) A moderate bite extends through the epidermis and dermis.
C) A severe bite extends through the epidermis, dermis, and subcutaneous tissues, resulting in blood loss.
D) This bite is not life-threatening.
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During a physical assessment, the nurse listens for adventitious lung sounds. Crackles are classified as fine, medium, or coarse. When are these sounds most often auscultated?
a. During expiration b. Following expiration c. During inspiration d. Following inspiration
Rehabilitation Health Facility has a high percentage of Jewish patients recovering from a variety of ailments. Which of the following is important for the facility's staff to know about medical care and the Jewish culture?
A) Pork and shellfish but not milk products are recommended as healthful foods in the diet. B) A rabbi must be consulted before any health-related decisions can be made. C) A skullcap and socks must be worn from sundown Friday to sundown Saturday. D) Modern medical care is encouraged but may be opposed during the Sabbath.
The ability to adapt to stress, adversity, or trauma is considered:
a. Resilience c. Self-actualization b. Autonomy d. Flexibility
A nurse in the outpatient pediatric clinic is reviewing the records of a preschool-age child and notes that because the parents often miss routine healthcare visits the child has not received the second measles, mumps, and rubella (MMR) vaccine
Which action by the nurse is most appropriate in this situation? 1. Speak firmly with the parents about the importance of being compliant. 2. Notify the physician that the child's immunizations are no longer up to date. 3. Call the parents and encourage them to bring the child for recommended care. 4. Plan to discuss the principles of health supervision at the next scheduled visit.